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Dr. Kevin Richard Kracke, PHD
Psychologist in Lewiston, Idaho
NPI 1164416749

Kevin Richard Kracke is a Psychologist based in Lewiston, ID. Kevin Richard Kracke practices in Lewiston, ID and has the professional credentials of PHD. The NPI Number for Kevin Richard Kracke is 1164416749 and holds a License No. PSY189 (Idaho).

The current practice location address for Kevin Richard Kracke is 422 17Th St, Lewiston, ID and can be reached out via phone at 208-743-4680 and via fax at 208-743-1756.

Location: 422 17Th St, Lewiston, ID, 83501-1465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164416749
Provider Name
Kevin Richard Kracke
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
422 17Th St, Lewiston, ID, 83501-1465
Phone Number
208-743-4680
Fax Number
208-743-1756
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N4478 01 ID BLUE CROSS OF IDAHO
000010015963 01 ID BLUESHIELD OF IDAHO
806177700 05 ID
institution
Provider Business Practice Location Address Details
Address
422 17Th St
City
Lewiston
State
Idaho
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider Business Mailing Address Details
Address
422 17Th St
City
Lewiston
State
Idaho
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY189 (Idaho)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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